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mimico health and safety induction.

Please fill out the health and safety form below.

Event Name:

Your Name(Required)

Company Name

Email(Required)

Phone(Required)

General Site Health and Safety

Hi-vis and covered footwear must be worn at all times.
I have sited the hazard register and understand the risks associated with this site.
I am aware of the first aid facilities and their locations.
I am familiar with the site’s evacuation procedures.
I understand and will adhere to MIMICO Golden Rules.

Working Zone Health and Safety

I am aware of the boundaries of the working zone
I understand that I must be accompanied by a staff member to enter the working zone.
I am not impaired and am fit to operate heavy machinery.
I acknowledge that I have the skills and training to operate the machinery.
I will use 3 points of contact when climbing in or out of machinery.
I acknowledge that I am responsible for my own safety and enter the working zone at my own risk.

How did you hear about this event?

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